Organization
EJAZ A DAWSON MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EJAZ A DAWSON MD (PRESIDENT)
(313) 861-4400
Entity
Organization
Contact information
Practice address
18254 LIVERNOIS AVE, DETROIT, MI 48221-4214
(313) 861-4400
Mailing address
18254 LIVERNOIS AVE, DETROIT, MI 48221-4214
(313) 861-4400
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4201058036
MI
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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